Individual provider Active NPI

Wesley Stuart Kaney, LCSW

  • Clinical Social Worker
  • Chattanooga, TN
National Provider Identifier
1437252848
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000001104 Issued in TN
Practice address
6110 Shallowford Rd
Chattanooga, TN 37421-1615
Phone
(800) 632-6074
Fax
(866) 341-7509
NPI assigned
Sep 7, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000001104 TN Primary

Addresses

Primary practice location

6110 Shallowford Rd
Chattanooga, TN 37421-1615

Mailing address

432 Parker LN
Bradyville, TN 37026-5343
Phone (615) 765-5751

Other identifiers 1

IdentifierTypeStateIssuer
3698934MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017002055 TN Practitioner - Clinical Social Worker 2860613791 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nashville Medical Department, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brownsville Medical Clinic, P.a.Group PAC ID 0547339772, 61 clinicians
BH Services Southeast 1 PCGroup PAC ID 7012457054, 96 clinicians

Practice addresses (Care Compare)

2565 N Washington Ave
Brownsville, TN 38012-1610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000001104TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Feb 5, 2019 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
BH Services Southeast 1 PC CurrentSince Mar 1, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 1, 2021 Accepting new patients
Cookeville Psychiatric Solutions PLLC CurrentSince Sep 28, 2024 Accepting new patients
Volunteer Behavioral Health Care System PastSince Aug 1, 2012 Accepting new patients
Paradigm Health Services, Inc Clinical Past Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

441 E Broad St
Ste E
Cookeville, TN 38501
Phone (931) 510-8405

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

40 Nursing Home Rd
Lynchburg, TN 37352
Phone (931) 359-6000

395 Interstate Dr
Manchester, TN 37355
Phone (931) 723-8744

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437252848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 PARKER LN",
            "city": "BRADYVILLE",
            "state": "TN",
            "postal_code": "370265343",
            "telephone_number": "615-765-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211615",
            "telephone_number": "800-632-6074",
            "fax_number": "866-341-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEY",
        "first_name": "WESLEY",
        "middle_name": "STUART",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000001104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3698934",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.